Radiopaque Lesions II Flashcards
cementoblastoma cause pain?
yes - this will be chief complaint along with swelling
main difference between cementoblastoma and Peri-apical cemento - osseous dysplasia
pain
predilication in central odontogenic fiboma
female
central odontogenic fiboma symptomatic?
no – they are asymptomatic but cause swelling - but no pain
major differentiation feature for fibrous dysplasia
will push the mandibular canal more superior where the other ones are pushing it inferior
describe pagets disease
Older individuals
40% complain of bone pain
deafness and visual impairment can occur
autosomal dominant, inherent
male > females
image features of paget’s disease
location is twice as likely in the maxilla than mandible
internal structure – radiolucent to opaque
effects on surroudning - displacement of sttructures
suture lines are not well defined
osteogenic sarcoma age?
bimodal
early
then 40-60
osteogenic sarcoma pain?
more likely
osteogenic sarcoma hallmark sign
pdl widening qassociated
chondrosarcoma features
over the age of 51 usually
malignancy
ill-defined
painless swelling can be some tooth mobility
if in maxilla (more in mandible) can have epistaxis and nasal obstructin
calcifying cystic odontogenic tumor
65% in incisor/ canine region
can displace and resorb roots and cortical plates
peri-coronal
can be well-defined corticated or ill-defines
there will be radio-pacities within the lesion as well
calcyfying epithelial odontogenic tumor
painless slow growing, usually painless
pre-molar - molar region
WD, corticated or irregular (if infected)
unilocular or multilocular w/ radio-opaque foci
will displace surrounding structure
ameloblastic fribro-odontoma
- Children as young as 10, mandibular posterior, 3:2 M:F
- Looks like ameoloblastoma except mix of dentin and enamel now
- Mixed internal structure
- WD and corticated
DISPLACEMETN of the canal and teeth with mixed radio-opacitites within
Adenomatoid Odontogenic Tumor
- Benign
- Painless, seen more in woman, 10-19 years
- Maxillary ANTERIOR (maxillary more)
- WD, corticated, radio-opaque foci develop in 2/3 cases
- Displacement and root resorption
o Buccal-cortical thinness - Superiorly displacing the teeth